Safety scalpel handle

ABSTRACT

A scalpel handle includes an outer body defining a first end and a cavity therein and an insert defining a blade holder disposed at a first end thereof and positionable within the cavity of the outer body with the blade holder extending outwardly away from the first end of the outer portion. A shield is coupled with the body and positionable around the blade holder, and a removal wedge fixed with respect to the shield and disposed in a substantially fixed lateral position at least partially aligned with a portion of the blade holder.

CROSS-REFERENCE TO RELATED APPLICATION

This application claims the benefit of U.S. Provisional Application No. 62/310,986 filed on Mar. 21, 2016, entitled, “SAFETY SCALPEL HANDLE,” the entire contents of which are incorporated herein by reference.

TECHNOLOGICAL FIELD

The present disclosure relates generally to a scalpel handle. In particular, the scalpel handle can retain a scalpel blade in an assembly that includes a safety sheath and a release mechanism to allow for removal of the blade.

BACKGROUND

Accidental cuts or punctures may occur by way of sharp instruments, either during use, during transfer from one person to another, or from inadvertent misplacement thereof in certain locations. Such injuries are particularly impactful in the medical arena, as diseases can be spread through accidental contact with “sharps,” including scalpel blades or the like. In particular, scalpels may include a handle that can be assembled with a disposable blade. Such handles may also be disposable or may be reusable (such as by being made of a material that can be sterilized using an autoclave of the like). Further, many such handles may not include any protection from contact with the blade when being assembled thereto and, further, may present additional opportunity for injury during removal of a to-be-disposed blade prior to reuse or disposal of the handle.

Accordingly, further advances in protection from injury due to inadvertent contact with scalpel blades, including during removal, are desired.

SUMMARY

According to one aspect of the present disclosure, a scalpel handle includes a body having an outer portion defining a first end and at least a portion of a first channel extending longitudinally along a first side of the body portion and open on the first end. The body further has an insert received within the cavity of the outer portion and defining a blade holder disposed at a first end thereof and extending outwardly away from the first end of the outer portion. The scalpel handle further includes a shield coupled with the body and slideable between a retracted position and a removal position with an intermediate extended position therebetween. The shield has a first removal flange extending within an interior of the shield and being slideably disposed within the first channel to pass the first end of the outer portion during movement of the shield from the extended position to the removal position.

According to another aspect of the present disclosure, a scalpel handle includes an outer body defining a first end and a cavity therein and an insert defining a blade holder disposed at a first end thereof and positionable within the cavity of the outer body with the blade holder extending outwardly away from the first end of the outer portion. A shield is coupled with the body and positionable around the blade holder, and a removal wedge fixed with respect to the shield and disposed in a substantially fixed lateral position at least partially aligned with a portion of the blade holder.

According to another aspect of the present disclosure, a scalpel handle includes a body defining a channel extending in a longitudinal direction along a side thereof and having a shield portion disposed at a first end thereof that at least partially encloses the channel. A removal ramp is defined along a portion of the channel adjacent the shield. The scalpel handle further includes an insert slideably disposed within the channel between an fully-extended position and a removal position with an intermediate extended position and a retracted position therebetween. The insert has a blade holder defined on a first end thereof that passes the first end of the body during movement of the insert from the intermediate extended position to the retracted position and passes the removal ramp during movement of the insert into the removal position.

These and other features, advantages, and objects of the present device will be further understood and appreciated by those skilled in the art upon studying the following specification, claims, and appended drawings.

BRIEF DESCRIPTION OF THE DRAWINGS

In the drawings:

FIG. 1 is a front perspective view of a scalpel handle with a shield thereof in a retracted position and assembled with a blade;

FIG. 2 is a rear perspective view of the scalpel handle assembly of FIG. 1;

FIG. 3 is a front perspective view of a body of the scalpel handle assembly of FIG. 1;

FIG. 4 is a perspective detail view of a locking mechanism of the scalpel handle of FIG. 1;

FIG. 5 is a perspective detail view of the locking mechanism of FIG. 4 in a depressed position;

FIG. 6 is a rear perspective view of the scalpel handle assembly of FIG. 1 during movement of the shield into an extended position;

FIG. 7 is a rear perspective view of the scalpel handle assembly of FIG. 1 with the shield in the extended position;

FIG. 8 is a front perspective detail view of the scalpel handle assembly of FIG. 7;

FIG. 9 is a front perspective detail view of the scalpel handle assembly of FIG. 1 with the shield moved into a blade removal position;

FIGS. 10A-10C are sequential cross-sectional views of the scalpel handle assembly during stages of movement of the shield into the removal position;

FIG. 11 is a detail view of a portion of the scalpel handle assembly of FIG. 1;

FIG. 12 is an exploded view showing an assembly of the shield;

FIG. 13 is a rear perspective view of an alternative scalpel handle having a moveable insert in an extended position with respect to a body with an integrated shield, the handle assembled with a blade;

FIG. 14 is a rear perspective view of the alternative scalpel handle assembly of FIG. 13 with the moveable insert thereof in a retracted position with respect to the body;

FIG. 15 is a bottom-rear perspective detail view of the alternative scalpel handle assembly of FIG. 13 with the moveable insert thereof moved toward a blade removal position with respect to the body; and

FIG. 16 is a rear perspective view of the alternative scalpel handle assembly of FIG. 13 with the moveable insert thereof in the blade removal position with respect to the body.

DETAILED DESCRIPTION OF EMBODIMENTS

For purposes of description herein the terms “upper,” “lower,” “right,” “left,” “rear,” “front,” “vertical,” “horizontal,” and derivatives thereof shall relate to the device as oriented in FIG. 1. However, it is to be understood that the device may assume various alternative orientations and step sequences, except where expressly specified to the contrary. It is also to be understood that the specific devices and processes illustrated in the attached drawings, and described in the following specification are simply exemplary embodiments of the inventive concepts defined in the appended claims. Hence, specific dimensions and other physical characteristics relating to the embodiments disclosed herein are not to be considered as limiting, unless the claims expressly state otherwise.

Referring to the embodiment illustrated in FIG. 1, reference numeral 10 generally designates a scalpel handle assembly, which may simply be referred to as a “handle.” The scalpel handle 10 includes a body 12 defining at least one channel 32 a,32 b extending in a longitudinal direction 76 along a side thereof and a blade holder 44 disposed at a first end 20 thereof and a shield 30 coupled with the body 12. The shield 30 is slideable along the body 12 between a retracted position and a removal position with an intermediate extended position therebetween. The shield 30 defines a removal flange 36 a,36 b extending within an interior of the shield 30 and slideably disposed within the channel 32 a,32 b to pass the first end 20 of the body 12 during movement of the shield 30 from the extended position to the removal position.

As shown in FIGS. 1 and 2, the handle 10 according to the embodiment of FIGS. 1-12 may include an insert 22 as a portion thereof. The insert 22 includes blade holder 44 on an end thereof and extending outward beyond first end 20 of body 12 to retain a blade 42 thereon that may be thereby removeably coupled with handle 10. The insert 22 can be coupled with the body 12 such as by being retained within a cavity 24 having an open side 26 along a portion of body 12. Insert 22 can be retained within cavity 24 by a plurality of retention tabs 28 (FIG. 3) and/or can be secured in place using adhesives or the like. In an example, a handle 10 according to such a construction can be a disposable handle 10, wherein body 12 comprises a plastic material or the like that, while not amenable to common sterilization processes, can be manufactured at a cost that generally permits a one-time (or single procedure) use. The use of insert 22 within body 12 can provide a greater weight for handle 10, which some may find to be more comfortable or precise feel. Further, the incorporation of the blade holder 44 as an integral portion of insert 22 can provide a more rigid coupling with and retention of blade 42 on handle 10. As shown in FIG. 3, insert 22 defines a plurality of channels 32 a,32 b therein that can accommodate portions of removal flanges 36 a,36 b respectively therein to allow removal flanges 36 a,36 b to move along handle 10 along with shield 30, without interference therebetween, as discussed further below.

As shown in FIGS. 3-8, body 12 of handle 10 includes tracks 57 that have first 54 and second 56 locking channels, with both locking channels 54 and 56 being connected by a portion of track 57 having elevated ramps 58 adjacent to locking channels 54 and 56. Track 57 and locking channels 54 and 56 engage with tabs 60 of a locking mechanism 62 on shield 30. When the shield 30 is directed towards either the first locking channel 54 or the second locking channel 56, tabs 60 ride over ramps 58, thereby causing inward flexing of locking mechanism 62 by bending of flexible portion 66 thereof (locking mechanism 62 being configured as a cantilevered section integral with shield 30) until tabs 60 snap into either first locking 54 or second locking channel 56, causing an audible signal and a tactual feel indicating that the shield 30 is positively locked in either the retracted position (when locking mechanism 62 is engaged with second locking channel 56) or the extended position (when locking mechanism 62 is engaged with first locking channel 54). It is noted that a set of locking channels 54 and 56 is shown connected by a track 57 on a top surface 68 of body 12, and that a corresponding (or substantially identical) set of locking channels connected by a corresponding (or substantially identical) track can be present on bottom surface 70 of body 12 as well. When shield 30 is locked in either the extended position, as shown in FIG. 8, or the retracted position, as shown in FIG. 1, the locking mechanism 60 may be released by depressing button 64 inward in direction P, shown in FIG. 5, and beginning movement of shield 30 out of such position (such as in direction 76, shown in FIG. 6). The locking mechanism 62 is released when tabs 60 travel beyond the respective locking channels 54 or 56, allowing the shield 30 to be moved either forward or backward, as shown, for example in FIG. 5, which shows inward movement of button 64 in direction P to allow tab 60 to move out of the locking channel 56 associated with the retracted position (FIG. 1).

Handle 10 is configured such that the blade 42 can be coupled with the blade tang 72 of blade holder 44 when the shield 30 is in the retracted position. Such coupling can be done according to generally standard blade loading technique and can include assembly of a slot 45 within blade 42 into a mounting groove 73 (FIG. 9) within blade tang 72. As shown in FIG. 3, blade holder 44 of handle 10 is exposed when shield 30 is in the retracted position such that blade 42 can be assembled on the handle 10 when shield 30 is retracted.

Handle 10 includes features arranged to facilitate an “automatic” blade removal. Handle 10 is further configured such that this blade 42 removal is only achieved when the shield 30 is moved forward from the extended position (FIG. 8) toward the removal position shown in FIG. 9. This is achieved when handle 10 is initially in the extended position (FIG. 8) with tab 60 engaged with first locking channel 54 by pressing the button 64 of locking mechanism 62 inward (generally in direction P, as discussed above) and pushing the shield 30 forward over an additional ramp 74 and into an extension portion 78 of track 57 (of which similar portions may be included in a similar track on bottom side 70 of body 12). Such movement results in the removal flanges 36 a, 36 b that extend inward within shield 30 to push the blade 42 in direction 76 to completely remove the blade 42 from blade holder 44 of the handle 10, as shown in FIG. 9.

As discussed above, removal flanges 36 a, 36 b extend inward within shield 30 and are recessed with respect to body 12 by extending into respective channels 32 within handle 10 (such as within insert 22 in the present embodiment). Channels 32 extend longitudinally along body 12, again, such that removal flanges 36 a, 36 b, while recessed within body 12, can move freely in direction 76 along body 12 with movement of shield 30, as discussed above. The recessed arrangement of removal flanges 36 a, 36 b allows at least portions thereof to extend laterally past the trailing edge 84 of blade 42 to align with a portion of the blade holder 44 and/or with mounting groove 73. As illustrated in FIG. 11, this positioning allows for at least one of removal flanges 36 a, 36 b to be positioned around or generally laterally behind trailing end 84 of blade 42 when shield 30 is moved out of the extended position and in direction 76 toward the removal position. As further shown in FIGS. 10A, 10B, ad 10C, this arrangement allows for engagement of at least one of the removal flanges 36 a, 36 b (depending, for example, on the particular geometry blade 42) to contact trailing edge 84 of blade 42 and to implement removal of blade 42 from blade holder 44.

In particular, each removal flange 36 a,36 b, as depicted in FIGS. 10A, 10B, and 10C, is inclined at least along a portion thereof to define a removal wedge thereon that makes initial contact with trailing edge 84 of blade 42. By this configuration, the initial continued movement of shield 30 in direction 76 just after contact of at least one of the removal flanges 36 a,36 b with trailing edge 84 of blade 42 can move the trailing edge 84 outward with respect to tang 72, as shown in FIG. 10B. This can begin detachment of blade 42 from blade holder 44 such that continued movement of shield 30 in direction 76, as shown in FIG. 10C can cause trailing edge 84 of blade 42 to engage with a generally flat (i.e. perpendicular to direction 76) portion of removal flanges 36 a,36 b. This allows at least one of removal flanges 36 a,36 b to force blade 42 in direction 76 with movement of shield 30. When shield is moved fully into the removal position (FIG. 9), blade 42 is disengaged from blade holder 44 by sliding of slot 45 out of mounting slot 73, allowing blade 42 to fall out the open end of shield 30.

As shown in FIG. 8, secondary portion 78 of track 57 may be located inward of the adjacent portion of track 57 opposite first locking channel 54 therefrom. This can be such that shield 30 is prevented from being moved into the removal position (FIG. 9) except by depressing of button 64 beyond a position required for movement of shield 30 toward the retracted position. Such positioning of secondary portion 78 may also provide a positive stop for shield 30 when moved into the extended position, preventing premature blade 42 removal during normal use of handle 10. Secondary portion 78 is configured to require a predetermined amount of additional travel horizontally in direction 76 beyond the extended position to achieve blade removal. Further, the secondary portion 78 of track 57 is sloped back outward such that the outward biasing of locking mechanism 62 causes tabs 60 to urge shield 30 toward the removal position when engaged with secondary portion 78. It is further shown that an end 80 of track 57 is defined within secondary portion 78. The presence of end 80 may help ensure that the shield 30 does not accidentally become released from the body 12 during blade 42 removal.

After blade 42 removal, shield 30 can be moved back to either of the extended or retracted positions. A new blade 42 can be coupled with handle 10, as discussed above, while shield 30 is in the retracted position. If there is no intention to assemble a new blade 42 and if handle 10 is intended for single-use, it may then be disposed of.

As shown in FIG. 1, for example, body 12 of handle 10 can have an outwardly-flared rearward end 38 opposite first end 20. The outwardly-flared profile thereof can be such that the outer profile thereof generally matches that of shield 30 so that when shield 30 is in the illustrated retracted position, a generally consistent outer profile for handle 10 is achieved, which may provide increased comfort during use. Further, handle 10 may include a scale 40 imprinted or debossed thereon for use during a procedure or the like. The scale 40 may be continuous between flared portion 38 of body 12 and shield 30 and/or may extend along body for use when shield 30 is in the extended position (FIG. 8).

As shown in FIGS. 6 and 7, shield 30 may include one or more windows 82 therethrough so that a blade 42 assembled with handle 10 can be seen therethrough when shield 30 is in the illustrated extended position. In further examples shield 30 can additionally or alternatively be constructed of a transparent material.

In one aspect, as illustrated in FIG. 12, shield 30 can be of a two-part plastic construction. In this construction, shield 30 can include a main portion 88 including the portion of shield 30 that surrounds body 12 and extends therefrom when in the extended position to conceal blade 42. A secondary portion 89 can include the button 64, tabs 60, and flexible portion 66 of the locking mechanism 62, discussed above. Secondary portion 89 can also include removal flanges 36 a,36 b, which can be configured to extend within main portion 88, as discussed above, when secondary portion 89 is assembled with main portion 88. Such construction can allow for an injection molded construction that includes removal flanges 36 a,36 b of a material thickness facilitating desired robustness of the removal flanges 36 a,36 b, including along an interface thereof with the remaining portions of shield 30. Such material thickness may be difficult to achieve in a single piece shield 30, particularly without complicated molds and machinery. Secondary portion 89 can be rigidly coupled with main portion 88 such as by ultrasonic welding, laser welding, or the like, or with adhesives, for example. To aide in assembly of main portion 88 and secondary portion 89, main portion 88 may include an alignment tab 90 that may engage with a corresponding notch 92 in secondary portion 89.

A further embodiment of a handle 210 is shown in FIGS. 13-16 that may be considered reusable. As such, both body 212 and insert 222 may be made of metal suitable for sterilization, such as using an autoclave or the like, such as stainless steel, various aluminum alloys, or the like. The variation of handle 210 illustrated in FIGS. 13-16 can include an integrated body 212 and shield 230 that are fixed together with shield 230 positioned adjacent end 220 of body 212. To retract blade within shield 230, handle 210 can include a moveable insert 222 that is slideably disposed within a cavity 224 in a side 226 of body 212. Insert 222 can be secured within cavity 224, for example, by one or more tabs 228, as illustrated in FIG. 14. In this variation, locking mechanism 262 can be coupled with insert 222 to allow for selective movement of insert 222 among various positions provided by track 257, similar to those discussed above. In particular, tab 260 of locking mechanism 262 can freely slide within track 257 between a locking channel 254 associated with an extended position, shown in FIG. 13, and an opposite locking channel 256 associated with a retracted position, shown in FIG. 14. It is noted that the more robust construction provided by the use of the above-mentioned metallic materials for insert 222, including button 260, and of body 212 may make it possible to incorporate only one track 257 on body 212. Accordingly, only a single tab 260 may be incorporated on button 260.

Although it may be possible to install blade 242 on blade holder 244 when insert 222 is in the extended position (FIG. 13), to further facilitate blade 242 installation, track 257 can further include a locking channel 255 associated with a blade installation, or fully-extended, position in which insert 222 is moved farther forward in direction 276 such that blade holder 244 can be accessed to install blade 242 thereon. Still further, an extension portion 280 of track 257 can be in communication with locking channel 256 such that, when button 264 is depressed by an amount sufficient to move tab 260 over ramp 278 (as shown in FIG. 14), insert 222 can be moved rearward such that trailing end 284 of blade 242 moves into contact with removal ramp 236 such that continued rearward movement of insert 222 causes blade 242 to become dislodged from blade holder 244.

To facilitate sterilization of handle 210 for subsequent reuse, button 264 can be pulled outwardly when insert 222 is in the retracted position (i.e. when tab 260 is in locking channel 256). This allows tab 260 to move out of locking channel 256, thereby allowing insert 222 to be moved further rearward (i.e. opposite direction 276) out of channel 224.

It will be understood by one having ordinary skill in the art that construction of the described device and other components is not limited to any specific material. Other exemplary embodiments of the device disclosed herein may be formed from a wide variety of materials, unless described otherwise herein.

For purposes of this disclosure, the term “coupled” (in all of its forms, couple, coupling, coupled, etc.) generally means the joining of two components (electrical or mechanical) directly or indirectly to one another. Such joining may be stationary in nature or movable in nature. Such joining may be achieved with the two components (electrical or mechanical) and any additional intermediate members being integrally formed as a single unitary body with one another or with the two components. Such joining may be permanent in nature or may be removable or releasable in nature unless otherwise stated.

It is also important to note that the construction and arrangement of the elements of the device as shown in the exemplary embodiments is illustrative only. Although only a few embodiments of the present innovations have been described in detail in this disclosure, those skilled in the art who review this disclosure will readily appreciate that many modifications are possible (e.g., variations in sizes, dimensions, structures, shapes and proportions of the various elements, values of parameters, mounting arrangements, use of materials, colors, orientations, etc.) without materially departing from the novel teachings and advantages of the subject matter recited. For example, elements shown as integrally formed may be constructed of multiple parts or elements shown as multiple parts may be integrally formed, the operation of the interfaces may be reversed or otherwise varied, the length or width of the structures and/or members or connector or other elements of the system may be varied, the nature or number of adjustment positions provided between the elements may be varied. It should be noted that the elements and/or assemblies of the system may be constructed from any of a wide variety of materials that provide sufficient strength or durability, in any of a wide variety of colors, textures, and combinations. Accordingly, all such modifications are intended to be included within the scope of the present innovations. Other substitutions, modifications, changes, and omissions may be made in the design, operating conditions, and arrangement of the desired and other exemplary embodiments without departing from the spirit of the present innovations.

It will be understood that any described processes or steps within described processes may be combined with other disclosed processes or steps to form structures within the scope of the present device. The exemplary structures and processes disclosed herein are for illustrative purposes and are not to be construed as limiting.

It is also to be understood that variations and modifications can be made on the aforementioned structures and methods without departing from the concepts of the present device, and further it is to be understood that such concepts are intended to be covered by the following claims unless these claims by their language expressly state otherwise.

The above description is considered that of the illustrated embodiments only. Modifications of the device will occur to those skilled in the art and to those who make or use the device. Therefore, it is understood that the embodiments shown in the drawings and described above is merely for illustrative purposes and not intended to limit the scope of the device, which is defined by the following claims as interpreted according to the principles of patent law, including the Doctrine of Equivalents. 

What is claimed is:
 1. A scalpel handle, comprising: a body including: an outer portion defining a cavity and a first end and at least a portion of a first channel extending longitudinally along a first side of the body portion and open on the first end; and an insert received within the cavity of the outer portion and defining a blade holder disposed at a first end thereof and extending outwardly away from the first end of the outer portion; and a shield coupled with the body and slideable between a retracted position and a removal position with an intermediate extended position therebetween, the shield including a first removal flange extending within an interior of the shield and being slideably disposed within the first channel to pass the first end of the outer portion during movement of the shield from the extended position to the removal position.
 2. The scalpel handle of claim 1, wherein: the cavity of the outer portion is open on a first side of the outer portion and defines a first portion of the first channel; and the insert defines a second portion of the first channel.
 3. The scalpel handle of claim 1, wherein: the outer portion of the scalpel handle is of a plastic material; and the insert of the scalpel handle is of a metal.
 4. The scalpel handle of claim 3, wherein the shield is of a plastic material.
 5. The scalpel handle of claim 1, wherein the shield includes: a first portion defining a sleeve receiving and surrounding the outer portion of the body; and a second portion defining a base having the removal flange extending inwardly therefrom and a button flexibly extending longitudinally from the base; wherein the first portion and the second portion are rigidly coupled together.
 6. The scalpel handle of claim 1, wherein the removal flange extends within an interior of the shield in a substantially fixed lateral position at least partially aligned with a portion of the blade holder to pass the first end of the outer portion and at least a rearward end of the blade holder during movement of the shield into the removal position.
 7. The scalpel handle of claim 1, wherein: the blade holder extends away from the first end of the outer portion along a first lateral side of the blade holder and defines a second lateral side of the blade holder that extends laterally away from the first lateral side and includes a mounting groove; and the removal flange extends inwardly from a portion of the shield adjacent the second lateral side of the blade holder to a position opposite the mounting groove from the portion of the shield.
 8. The scalpel handle of claim 1, wherein: the first removal flange is positioned on a first vertical side of the blade holder; and the shield further includes a second removal flange positioned on a second vertical side of the blade holder and extending within the interior of the shield.
 9. The scalpel handle of claim 8, wherein: the outer portion defines at least a portion of a second channel extending generally parallel to the first channel and open on the first end; and the second removal flange is slideably disposed within the second channel to pass the first end of the outer portion during movement of the shield from the extended position to the removal position.
 10. The scalpel handle of claim 1, wherein: the outer portion of the body further defines a first locking channel corresponding to the extended position of the shield and a second locking channel corresponding to a retracted position of the shield opposite the removal position and spaced from the first locking channels such that the blade holder is exposed when the shield is in the retracted position; the shield further includes a button depressible toward the body, the button being alternately releasably engageable with the first locking channel to maintain the shield in the extended position and with the second locking channel to maintain the shield in the retracted position; and when engaged with the first channel or the second channel, the button is disengageable from the first locking channel and the second locking channel by movement thereof toward the body into a depressed position.
 11. The scalpel handle of claim 10, wherein the button includes a tab extending therefrom, the button being alternately releasably engageable with the first locking channel and the second locking channel by engagement of the tab with the first locking channel and the second locking channel, respectively.
 12. The scalpel handle of claim 11, wherein the body further defines a guide track in communication with the first locking channel at a first end thereof and with the second locking channel at a second end thereof, the tab guide track including a first ramp adjacent the first end and a second ramp adjacent the second end, the guide track receiving the tab during movement thereof between the first locking channel and the second locking channel.
 13. The scalpel handle of claim 11, wherein the body further defines a guide track in communication with the first locking channel at a first end thereof and receiving the tab during movement of the shield out of the extended position toward the retracted position, the guide track further including an extension portion disposed inwardly relative to the first end of the guide track and extending to a second end adjacent the first end of the outer portion, the extension portion receiving the tab during movement of the shield away from the extended position toward the removal position.
 14. The scalpel handle of claim 13, wherein the first locking channel is flanked by first and second inwardly-extending ramp portions that respectively extend inwardly from portions of the channel disposed away from the first locking channel to a position adjacent the first locking channel, the first ramp portion being disposed toward the removal position and extending inwardly a first distance that is greater than a second distance through which the second ramp portion extends.
 15. A scalpel handle, comprising: an outer body defining a first end and a cavity therein; an insert defining a blade holder disposed at a first end thereof and positionable within the cavity of the outer body with the blade holder extending outwardly away from the first end of the outer body; a shield coupled with the body and positionable around the blade holder; and a removal wedge fixed with respect to the shield and disposed in a substantially fixed lateral position at least partially aligned with a portion of the blade holder.
 16. The scalpel handle of claim 15, wherein: the shield is slideably coupled with the outer body and moveable between a retracted position and a removal position with an intermediate extended position therebetween; and the removal wedge is defined on a first flange extending within an interior of the shield in a substantially fixed lateral position with the removal wedge at least partially aligned with a portion of the blade holder to pass the first end of the outer body and at least a rearward end of the blade holder during movement of the shield into the removal position.
 17. The scalpel handle of claim 16, wherein: the outer body is of a plastic material and further defines at least a portion of a first channel extending longitudinally along a first side of the outer body and open on the first end; and the insert is of metal and is fixed within the cavity.
 18. The scalpel handle of claim 15, wherein: the cavity is open on a first side of the outer body to define a channel extending in a longitudinal direction along the first side; the shield is fixed with the outer body and disposed adjacent the first end thereof to at least partially enclose the channel; the removal wedge is integral with the outer body and disposed along a portion of the channel adjacent the shield; and the insert is slideably disposed within the first channel such that a portion of the blade holder passes the removal wedge during movement of the insert from an extended position outside the shield and past the first end of the outer body to a removal position disposed inwardly with respect to the first end of the outer body and at least partially within the shield.
 19. The scalpel handle of claim 18, wherein: the outer body further defines a first locking channel corresponding to the extended position of the insert and a second locking channel corresponding to a retracted position of the insert between the extended position and the removal position and spaced from the first locking channels such that the blade holder is exposed when the insert is in the extended position; and the insert further includes a button depressible toward the outer body, the button being alternately releasably engageable with the first locking channel to maintain the shield in the extended position and with the second locking channel to maintain the shield in the retracted position; when engaged with the first channel or the second channel, the button is disengageable from the first locking channel and the second locking channel by movement thereof toward the outer body into a depressed position.
 20. A scalpel handle, comprising: a body defining a channel extending in a longitudinal direction along a side thereof and having a shield portion disposed at a first end thereof that at least partially encloses the channel, a removal ramp defined along a portion of the channel adjacent the shield; and an insert slideably disposed within the channel between an fully-extended position and a removal position with an intermediate extended position and a retracted position therebetween and having a blade holder defined on a first end thereof that passes the first end of the body during movement of the insert from the intermediate extended position to the retracted position and passes the removal ramp during movement of the insert into the removal position. 